LOGAN HUMITZ

LIVONIA, MI
NPI1528604485
Former NameLOGAN VINES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  7101006250)
Enumeration Date2019-11-25
Last Update Date2021-12-16
Business Address
LOGAN HUMITZ CCC
38935 ANN ARBOR RD STE 150
LIVONIA, MI 48150-3397
Phone number: 248-886-9540
Mailing Address
LOGAN HUMITZ CCC
38935 ANN ARBOR RD STE 150
LIVONIA, MI 48150-3397
Phone number: 580-880-5855